MATT AMIDAN

MOAB, UT
NPI1174203467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  7550499-1701)
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
MATT AMIDAN
290 S MAIN ST
MOAB, UT 84532-2596
Phone number: 435-313-2012
Mailing Address
MATT AMIDAN
290 S MAIN ST
MOAB, UT 84532-2509
Phone number: 435-313-2012